ANDALIB DANANDEH (MD) – Family Medicine Physician, NPI 1093200123

ANDALIB DANANDEH (MD) is a healthcare provider. based in Fruita, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 326218 (LA). The NPI Number for ANDALIB DANANDEH (MD) is 1093200123

Main info

Male
10 Years Of Experience
Name
ANDALIB DANANDEH (MD)
NPI
1093200123
Phone
(970) 858-2211
Address
PO BOX 130
Enumeration Date
1 July 2018
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
7316421220
Graduation Year
2016 (10 years ago)
PAC ID
3678979564
Group Practice PAC ID
0345467486
Professional Enrollment ID
I20220620000770
Address ID
TN382424544PA301XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:7State licenses:3Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for ANDALIB DANANDEH (MD)

  • PO BOX 130

    FRUITA, CO 815210130

    Phone: (970) 858-2211

    Fax: (970) 858-2208

    Type: Mailing

  • 300 W OTTLEY AVE

    FRUITA, CO 815212118

    Phone: (970) 858-2211

    Type: Location

  • 2514 67TH AVENUE LOOP STE 112

    MERIDIAN, MS 393077260

    Phone: (601) 482-4955

    Type: Mailing

  • 750 Hospital Loop

    Craig, CO 816258750

    Phone: (970) 824-9411

    Fax: (970) 826-3116

    Type: Location

  • 12230 Lioness Way

    Parker, CO 801345603

    Phone: (720) 644-9355

    Type: Location

  • 301 Tyson Ave

    Paris, TN 382424544

    Phone: (731) 642-1220

    Type: Location

  • 758 HIGHWAY 46 S

    DICKSON, TN 370552502

    Phone: (615) 446-2708

    Fax: (615) 441-5121

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 154 Open Payments records for all available years, with a total value of $3,099.

Total Amount is formed as General ($3,099) + Research ($0) + Ownership ($0) = $3,099.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($604).

Total Amount

$3,099

General + Research + Ownership

Payments

154

Total payment records

General Amount

$3,099

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210831003810IFamily PracticeLATBD
I20220620000770IFamily PracticeTNTBD
I20250320002778IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg428106$0
99213Established patient office or other outpatient visit, 20-29 minutes350262$0
J0696Injection, ceftriaxone sodium, per 250 mg32679$0
96372Injection of drug or substance under skin or into muscle304185$0
36415Insertion of needle into vein for collection of blood sample228127$0
View full utilization report →

Insurance plans in this area (ZIP 81521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345467486View full group profile
NameSpecialtyState
-CO
Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary Disease, Internal MedicineWA
Internal MedicineAZ
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCO
-CO
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists)WA
Hospitalist, Internal Medicine, Internal MedicineND
Pulmonary Disease, Pulmonary Disease, Internal MedicineWA
Nurse PractitionerMI
Family PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm ANDALIB DANANDEH (MD)'s NPI?
Yes. ANDALIB DANANDEH (MD) is listed with NPI 1093200123 in the public NPI dataset.
Does CMS list ANDALIB DANANDEH (MD) as active?
Yes — ANDALIB DANANDEH (MD) is active in the NPI listing used on this page.
What healthcare role does ANDALIB DANANDEH (MD) hold?
Scheduling teams often label ANDALIB DANANDEH (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ANDALIB DANANDEH (MD) serve?
ANDALIB DANANDEH (MD)'s listing highlights Fruita, Colorado; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.